The experience accumulated with low-intensity extracorporeal shock wave therapy (LI-ESWT) from international clinical trials has demonstrated its safety, efficacy and good tolerance in treatment of erectile dysfunction (ED). The aim of this retrospective study was to investigate the effect of LI-ESWT in patients with ED after bilateral nerve sparing radical surgery for prostate cancer. Twenty-seven patients underwent bilateral nerve sparing radical retropubic prostatectomy (BNSRRP) at the clinic of urology of the university hospital in Pleven between January 2016 and December 2016. Twenty-one of these patients had pre-operative preserved erectile function (EF), as reported according to the International Index of Erectile Function (IIEF-5). Postoperatively, these 21 patients experienced a mild (18-21 points) impairment of EF. In 10 patients (group 1), LI-ESWT was performed. The procedure was performed once a week for 6 weeks with a LI-ESWT (BTL 6000 SWT Topline) instrument. The reading was ...
The experience accumulated with low-intensity extracorporeal shock wave therapy (LI-ESWT) from international clinical trials has demonstrated its safety, efficacy and good tolerance in treatment of erectile dysfunction (ED). The aim of this retrospective study was to investigate the effect of LI-ESWT in patients with ED after bilateral nerve sparing radical surgery for prostate cancer. Twenty-seven patients underwent bilateral nerve sparing radical retropubic prostatectomy (BNSRRP) at the clinic of urology of the university hospital in Pleven between January 2016 and December 2016. Twenty-one of these patients had pre-operative preserved erectile function (EF), as reported according to the International Index of Erectile Function (IIEF-5). Postoperatively, these 21 patients experienced a mild (18-21 points) impairment of EF. In 10 patients (group 1), LI-ESWT was performed. The procedure was performed once a week for 6 weeks with a LI-ESWT (BTL 6000 SWT Topline) instrument. The reading was ...
Recovery of erectile function after nerve sparing radical prostatectomy and penile rehabilitation with nightly intraurethral alprostadil versus sildenafil citrate.
Question - Pancreatic parenchymal abnormalities consisting of hyperechoic strands ,hyperechoic focci, lobularity noted in entire pancreas consistent with mild chronic pancreatitis. Suggestions?. Ask a Doctor about when and why Ultra sound is advised, Ask a Radiologist
PURPOSE: To intraindividually compare a low-tube-voltage (80 kVp), high-tube-current (675 mA) computed tomographic (CT) technique with a high-tube-voltage (140 kVp) CT protocol for the detection of pancreatic tumors, image quality, and radiation dose during the pancreatic parenchymal phase. MATERIALS AND METHODS: This prospective, single-center, HIPAA-compliant study was approved by the institutional review board, and written informed consent was obtained. Twenty-seven patients (nine men, 18 women; mean age, 64 years) with 23 solitary pancreatic tumors underwent dual-energy CT. Two imaging protocols were used: 140 kVp and 385 mA (protocol A) and 80 kVp and 675 mA (protocol B). For both protocols, the following variables were compared during the pancreatic parenchymal phase: contrast enhancement for the aorta, the pancreas, and the portal vein; pancreas-to-tumor contrast-to-noise ratio (CNR); noise; and effective dose. Two blinded, independent readers qualitatively scored the two data sets for ...
The objective of the study was to evaluate unilateral nerve sparing prostate surgery. Patient files of men who underwent unilateral nerve sparing radical prostatectomy were analyzed retrospectively after a minimum follow-up period of 18 months. Of 46 patients who received unilateral nerve sparing surgery, 14 (30.4%) regained full potency after surgery. In 92.9% of these patients, recovery occurred within a period of 18 months. Age is the single most important factor in the recuperation of potency after unilateral nerve sparing surgery. Most of the patients (84.8%) reported the ability to achieve orgasm. Of eight patients with positive section margins, two had positive section margins at the spared side only. Unilateral nerve sparing surgery remains a feasible treatment option for prostate cancer.
I had nerve sparing radical prostectemy in October 2004. I had just turned 50. I had great erections prior to surgery. It was six months before there was even a tingling down there. Almost a year before I had a respectable erection so we are not all the same. I suggest patience. It is somewhere between half and 3/4 of the pre surgery size. Rather an embarrasement but my girlfriend thinks Im wonderful. I also suggest the 1/4 dose of Viagra every 48 hours. Another thing, I have a mild case of peyrennnes (SP?) disease as a result of the surgery. I remember reading that a high percentage of RP patients get this as a result of the surgery. Another surprise I was not warned about. It was several years before a doctor specializing in ED told me I had a lot of scar tissue and that I needed 1600 units of vitamin E to help work on the scar tissue. I did that for about nine months and frankly didnt see a difference. I can have erections without Viagra but sometimes go limp in five minutes or so. Viagra ...
I had nerve sparing radical prostectemy in October 2004. I had just turned 50. I had great erections prior to surgery. It was six months before there was even a tingling down there. Almost a year before I had a respectable erection so we are not all the same. I suggest patience. It is somewhere between half and 3/4 of the pre surgery size. Rather an embarrasement but my girlfriend thinks Im wonderful. I also suggest the 1/4 dose of Viagra every 48 hours. Another thing, I have a mild case of peyrennnes (SP?) disease as a result of the surgery. I remember reading that a high percentage of RP patients get this as a result of the surgery. Another surprise I was not warned about. It was several years before a doctor specializing in ED told me I had a lot of scar tissue and that I needed 1600 units of vitamin E to help work on the scar tissue. I did that for about nine months and frankly didnt see a difference. I can have erections without Viagra but sometimes go limp in five minutes or so. Viagra ...
This trial will investigate the efficacy of alanylglutamine [Dipeptiven] on postoperative insulin resistance in colon cancer patients. The primary endpoint is
The Discovery IGS 740 is equipped with two customisable parking positions to accommodate multiple room sizes and shapes. The 41×41-cm detector enables imaging of large organs, such as the liver and simultaneous coverage of both legs. The wide-bore c-arm helps interventional radiologists image large patients and conveniently perform off-centered 3D acquisitions. In addition, the system comes equipped with more than 20 advanced applications, such as FlightPlan for Liver, which helps clinicians identify tumour-feeding vessels in a few clicks, and be selective during liver embolizations.. Our goal is to pioneer a solution designed to free interventional radiologists from traditional constraints, says Chantal Le Chat, general manager of GE Healthcare Premium Angiography. With the enhanced mobility of the Discovery IGS 740, clinicians have full freedom to operate, and we believe this can revolutionise the field of interventional imaging.. ...
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Transaxillary Robotic Thyroidectomies Dallas - Transaxillary Robotic Thyroidectomies, Balloon Sinuplasty, Transoral Laser Microsurgery and other procedures are offered by Dallas ENT Group serving Plano, Dallas and the surrounding area.
In most cases in which preoperative imaging is optimized and the correct incision is used, partial nephrectomy can be performed in situ. Temporary arterial occlusion and regional hypothermia are often... more
Every Week the Editor-in-Chief selects an Article of the Week from the current issue of BJUI. The abstract is reproduced below and you can click on the button to read the full arti[...] ...
Early phase clinical trials, the role of the p53/MDM2 pathway in radioresistance and cellular motility, the therapeutic exploitation of the unfolded protein response in H&N cancer, treatment response in HPV +ve oropharyngeal cancer intraoperative radiotherapy, core and swallowing outcomes in late phase clinical trials involving patients with OPSCC, function sparing surgical strategies for H&N cancer - especially transoral laser microsurgery ...
Laura Douglass, MD, specializes in gynecologic surgery, including fertility sparing treatment for endometriosis and transabdominal cerclages (TAC) for women with an incompetent cervix.
Hi all, Im hoping for some advice from the ladies who have conceived following a Radical Trachelectomy. I found out today that Im six weeks pregnant after five rounds of ivf and two miscarriages. I had an early scan today and a heartbeat was detected. Obviously its very early days but I wanted to know what peoples experience was of pre-term labour for ladies in our
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PURPOSE: To evaluate a fast method to identify renal vessels during retroperitoneal laparoscopic nephrectomy. METHODS: One hundred fifty retroperitoneal laparoscopic nephrectomies were performed from October 2003 to June 2006. The renal arteries were
YANEZ M, Ricardo; LOYOLA B, Francisco Javier; URZUA E, Camilo y CORNEJO F, Jorge. Total laryngectomy in advanced laryngeal neoplasma T4a. Rev Chil Cir [online]. 2012, vol.64, n.5, pp.442-446. ISSN 0718-4026. http://dx.doi.org/10.4067/S0718-40262012000500005.. Background: In Chile a significant number of patients is presented with advanced laryngeal cancer at diagnosis with poor prognosis and less than 50% survival at 5 years. Nowadays choosing the organ sparing treatment, but in selected cases total laryngectomy is a valid treatment option. Aim: To present the results obtained with the extended total laryngectomy in patients with advanced laryngeal carcinoma. Patients and Methods: Retrospective analysis of all patients with advanced laryngeal carcinoma T4a underwent total extended laryngectomy at our center between 2007-2010. Results: 18 patients, a woman, a median age 64 years (range, 50-82), they were studied and etapified with Rhino-Laryngo-Fibrescope Olympus© and CT. Seven patients ...
TY - JOUR. T1 - Meta-Analysis of the Impact of the Learning Curve in Robotic Rectal Cancer Surgery on Histopathologic Outcomes. AU - Gachabayov, Mahir. AU - You, Karen. AU - Kim, Seon Hahn. AU - Yamaguchi, Tomohiro. AU - Jimenez-Rodriguez, Rosa. AU - Kuo, Li Jen. AU - Cianchi, Fabio. AU - Staderini, Fabio. AU - Bergamaschi, Roberto. PY - 2019/5/15. Y1 - 2019/5/15. N2 - INTRODUCTION: Although the process of learning robotic surgery for rectal cancer is associated with a prolonged operating time and higher complication rates, its impact on histopathologic outcomes is unknown. The aim of this meta-analysis was to evaluate the impact of the learning curve in robotic surgery for rectal cancer on histopathologic outcomes. METHODS: The PubMed, EMBASE, Cochrane Library, MEDLINE via Ovid, CINAHL, and Web of Science databases were systematically searched. The inclusion criterion was any clinical study comparing the outcomes of robotic surgery for rectal cancer between different phases of the learning ...
The role of positive surgical margins (PSMs) on the recurrence of renal cell carcinoma (RCC) after partial nephrectomy (PN) is debated, and available evidence lacks long-term data. The aim of this study was to evaluate the predictive role of PSMs on progression-free survival (PFS) in a large cohort followed for at least 5 years.
Read Three-dimensional computed tomography analysis of the vascular anatomy of the splenic hilum for gastric cancer surgery, Surgery Today on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips.
Elective surgery causes a marked, transient reduction in insulin sensitivity. The degree of the reduction is related to the magnitude of the operation. The type and duration of surgery performed, perioperative blood loss, and also the degree of postoperative insulin resistance have significant influ …
Principal Investigator:INADA Tetsuo, Project Period (FY):1991 - 1993, Research Category:Grant-in-Aid for Co-operative Research (A), Research Field:Radiation science
Hello, was wondering if anyone out there has had a trachelectomy and had results back that say boderline changes??? I know normally borderline changes wouldnt be something to worry about but this must mean it might be coming back. Please let me know if you have had the same results- Im terrified and dont want to tell anyone until I know what it means Jem
HOW LONG DOES IT TAKE TO GET MY CAR.. As this is a new car, delivery times will vary from manufacturer and model - the dealership will be able to tell you at the time you order.. Most delivery times will take a couple of weeks, although this could be as long as 3-6 months depending on vehicle specification and lead time... ...
Aspects Pools, UK online store for swimming pool spare parts. We sell spare parts for all types of swimming pool equipment. Pool Filter Spares. Pool Pump Spares. Pool Heater Spares. Pool Cleaner Spares.
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TY - JOUR. T1 - Transoral laser microsurgery for untreated glottic carcinoma. AU - Grant, David G.. AU - Salassa, John R.. AU - Hinni, Michael L.. AU - Pearson, Bruce W.. AU - Hayden, Richard E.. AU - Perry, William C.. PY - 2007/9/1. Y1 - 2007/9/1. N2 - Objectives: To report the oncology and functional outcomes of transoral laser microsurgery (TLM) for untreated glottic carcinoma. Study Design: A 2 center prospective case series analysis. Setting: Academic, tertiary referral centers. Results: Seventy-six patients underwent TLM. Pathologic T stages were: T1, 45 (59%); T2, 21 (28%); T3, 5 (7%); and T4, 5 (7%). Five (7%) patients had neck dissections. Five (7%) patients received adjuvant radiotherapy. Mean follow-up was 42 months. Respective T1 and T2 5-year Kaplan-Meier estimates were: local control, 90% and 93%; loco-regional control, 90% and 93%; disease specific survival, 90% and 93%; and overall survival, 94% and 93%. The average hospital stay was 2 days. Two (3%) patients experienced major ...
BACKGROUND: We evaluated vascular patency and potential changes in preserved spleens after laparoscopic spleen-preserving distal pancreatectomy (SPDP) with conservation of both splenic vessels.. METHODS: We retrospectively analyzed the patency of conserved splenic vessels in patients who underwent laparoscopic or robotic splenic vessel-conserving SPDP from January 2006 to August 2010. The patency of the conserved splenic vessels was evaluated by abdominal computed tomography and classified into three grades according to the degree of severity.. RESULTS: Among 30 patients with splenic vessel-conserving laparoscopic SPDP, 29 patients with complete follow-up data were included in this study. During the follow-up period (median: 13.2 months), grades 1 and 2 splenic arterial obliteration were observed in one patient each. A total of five patients (17.2%) showed grade 1 or 2 obliteration in conserved splenic veins. Most patients (82.8%) had patent conserved splenic vein. Four patients (13.8%) ...
TY - JOUR. T1 - Spleen-preserving lymphadenectomy versus splenectomy in laparoscopic total gastrectomy for advanced gastric cancer. AU - Son, Sang Yong. AU - Shin, Dong Joon. AU - Park, Young Suk. AU - Oo, Aung Myint. AU - Jung, Do Hyun. AU - Lee, Chang Min. AU - Ahn, Sang Hoon. AU - Park, Do Joong. AU - Kim, Hyung Ho. PY - 2017/6/1. Y1 - 2017/6/1. N2 - Background To investigate the optimal approach for laparoscopic splenic hilum lymph node dissection in proximal advanced gastric cancer, we compared the operative outcomes between laparoscopic spleen-preserving total gastrectomy (sp-LTG) and laparoscopic total gastrectomy with splenectomy (sr-LTG). Methods A retrospective case-cohort study was conducted between February 2006 and December 2012. The operative outcomes, the number of retrieved splenic hilum lymph node, complication, and patients survivals were analyzed. Results 112 patients who underwent laparoscopic total gastrectomy with or without splenectomy for advanced gastric cancer were ...
TY - JOUR. T1 - Nephron-sparing surgery is equally effective to radical nephrectomy for T1BN0M0 renal cell carcinoma. T2 - A populationbased assessment. AU - Crépel, M.. AU - Jeldres, C.. AU - Perrotte, P.. AU - Capitanio, U.. AU - Isbarn, H.. AU - Shariat, S. F.. AU - Liberman, D.. AU - Sun, M.. AU - Lughezzani, G.. AU - Arjane, P.. AU - Widmer, H.. AU - Graefen, M.. AU - Montorsi, F.. AU - Patard, J. J.. AU - Karakiewicz, P. I.. PY - 2010/6/1. Y1 - 2010/6/1. UR - http://www.scopus.com/inward/record.url?scp=77953639123&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=77953639123&partnerID=8YFLogxK. U2 - 10.1016.2009.04.098. DO - 10.1016.2009.04.098. M3 - Comment/debate. AN - SCOPUS:77953639123. VL - 24. SP - 886. EP - 887. JO - Journal of Endourology. JF - Journal of Endourology. SN - 0892-7790. IS - 6. ER - ...
BACKGROUND Upper gastrointestinal haemorrhage is mainly caused by ulcers. Gastric varicosis due to portal hypertension can also be held responsible for upper gastrointestinal bleeding. Portal hypertension causes the development of a collateral circulation from the portal to the caval venous system resulting in development of oesophageal and gastric fundus varices. Those may also be held responsible for upper gastrointestinal haemorrhage. CASE PRESENTATION In this study, we describe the case of a 69-year-old male with recurrent severe upper gastrointestinal bleeding caused by arterial submucosal collaterals due to idiopathic splenic artery thrombosis. The diagnosis was secured using endoscopic duplex ultrasound and angiography. The patient was successfully treated with a laparoscopic splenectomy and complete dissection of the short gastric arteries, resulting in the collapse of the submucosal arteries in the gastric wall. Follow-up gastroscopy was performed on the 12th postoperative week and showed no
Matrix Metalloproteinase-2 (Mmp2) is a collagenase known to be important in the development of renal fibrosis. In unilateral ureteral obstruction (UUO) the obstructed kidney (OK) develops fibrosis, while the contralateral (CL) does not. In this study we investigated the effect of UUO on gene expression, fibrosis and pelvic remodeling in the kidneys of Mmp2 deficient mice (Mmp2-/-), heterozygous animals (Mmp2+/-) and wild-type mice (Mmp2+/+). Sham operated animals served as controls (Cntrl). UUO was prepared under isoflurane anaesthesia, and the animals were sacrificed after one week. UUO caused hydronephrosis, dilation of renal tubules, loss of parenchymal thickness, and fibrosis. Damage was most severe in Mmp2+/+ mice, while both Mmp2-/- and Mmp2+/- groups showed considerably milder hydronephrosis, no tubular necrosis, and less tubular dilation. Picrosirius red quantification of fibrous collagen showed 1.63±0.25% positivity in OK and 0.29±0.11% in CL (p,0.05) of Mmp2+/+, Mmp2-/- OK and ...
[email protected]. College Park, Maryland -- April 3, 2009 -- Proton therapy has been hailed as a revolutionary cancer treatment, with higher cure rates and fewer side effects than traditional X-ray photon radiotherapy. Proton therapy is the modality of choice for treating certain small tumors of the eye, head, head or neck. It is also safer -- especially for young children -- because it exposes less of the tissue surrounding a tumor to the dosage, proton therapy lowers the risk of secondary cancers later in life.. What does the scientific evidence show about proton therapy? With the rapid proliferation of proton facilities in the United States, what will current and future practitioners of proton radiotherapy need to know? Now a panel of researchers, clinicians, and public health experts will debate the promise and perils of proton radiotherapy -- a 70-year-old idea that bridges medicine and particle physics. Spearheaded by the AAPM Science Council and sponsored by the American Association of ...
Recognized entry into the collecting system intraoperatively requires surgical repair. Failure to do so can result in postoperative urinoma. Risk factors include central location, larger tumor size, a... more
INTRODUCTION & OBJECTIVES: Several reports demonstrated that nephron sparing surgery (NSS) better protects renal function relative to radical nephrectomy (RN). However, controversies exist whether NSS may also affect other-cause mortality (OCM). In the current study, we aimed to report the long term (more than 10 years) survival and functional outcomes of NSS vs. RN after accounting for clinical characteristics, comorbidities and individual patients cardiovascular risk. MATERIAL & METHODS: A multi-institutional collaboration among five European Tertiary Care Centers allowed collecting 1189 patients with a clinical T1a-T1b N0 M0 renal mass and treated between 1988 and 2004. Patients underwent RN (n=678, 57%) or NSS (n=511, 43%) and showed normal estimated glomerular filtration rates (eGFR) before surgery (defined as a pre-operative eGFR≥60ml/min/1.73m2). Descriptive, univariable and multivariable Cox regression analyses were used to predict the risk of OCM and chronic kidney disease (CKD, ...
INTRODUCTION. Robot-assisted partial nephrectomy (RAPN) is considered a feasible minimally invasive alternative to open partial nephrectomy (OPN) for the surgical treatment of renal tumors. The objective of the study is to provide further evidence supporting the effectiveness of RAPN in tertiary care centers and to describe the evolution of RAPN based technical improvements.. METHODS. The Transatlantic Robotic Nephron-sparing Surgery (TRoNeS) study group prospectively collected data from 635 patients subjected to RAPN between 2010 and 2016 at three high volume tertiary care centers. All patients underwent either preoperative CT-scan or MRI to anatomically define the renal masses.. RESULTS. Of 635 patients, 399 (62.8%) were males. Mean patient age was 60.7 yrs and mean preoperative tumor size was 33 mm, with 324 (51.0%) of tumors being right sided. According to the PADUA score, 202 (31.8%) patients had a low complexity tumor, while 235 (37.0%) and 198 (31.2%) were of intermediate and high ...
Material & Methods: Using the database of the European study on radical prostatectomy (653(DQG PHQ ZKR XQGHUZHQW UDGLFDO UHWURSXELF SURVWDWHFWRP\ EHWZHHQ DQGDWRWDORISDWLHQWVZHUHLGHQWLᚏHGZKRKDGXQGHUJRQHELODWHUDOQHUYHVSDULQJ and preservation of the tip of the seminal vesicle (GROUP 1). Potency and continence results were compared to a matched group of 1424 men who also underwent a bilateral nerve sparing procedure without preservation of the seminal vesicle tip during the same period (GROUP 2). Results: 2YHUDOOFRQWLQHQFHUDWHSDGDW\HDUZDVZLWKD&,&RQWLQHQFH WLPHNLQHWLFVDWPRDWPRDWPRDQGDWPR$ GLᚎHUHQFHZDVVHHQZKHQFRPSDULQJSK\VLFLDQDQGSDWLHQWJXLGHGTXHVWLRQQDLUHVZLWK respect to continence (physicians judging rates more favourably).A constant relative increase in Nerve-sparing (uni- and bilateral) procedures was observed with highest rates 1998-2000, and reaching a steady state thereafter (at 71,4% of all cases). Potency results and time kinetics in both groups are: Potency GROUP 1* GROUP 2 PR 8-15% ...
Radical trachelectomy may be used to treat women with early-stage cervical cancer who want to preserve their fertility. Learn about radical trachelectomy.
Purpose: The proper management of ureteral stones is essential due to the severity of symptoms and resulting kidney damage. Less invasive techniques s..
In most cases, surgery is required to achieve a complete cure. Rectal cancer surgery involves removing the portion of rectum containing the cancer along with its associated lymph nodes. The colon is then connected to the rectum. If the rectal cancer is very low in the rectum or is attached to the anal sphincter it may not be possible to connect the intestine together and a permanent colostomy is needed. A colostomy is an opening of the intestine into a bag on the skin.. A number of different techniques can be used to perform rectal cancer surgery. North Texas Colon and Rectal associates specialize in minimally invasive techniques including laparoscopy and robotic surgery. Minimally invasive techniques that result in less pain and shorter recovery time.. Occasionally the rectal cancer is caught very early and can be removed through the anus and without an incision in the abdomen. This is called a transanal local excision. North Texas Colon and Rectal associates also specialize in minimally ...
Postoperative ileus remains a significant medical problem after colorectal surgery that adversely influences patients recovery. The investigators previ
Delivery time: The deadline for delivery begins when paying in advance on the day after the payment order to the remitting bank or for other payments on the ...
This is the first study to our knowledge of HRQoL in a cohort of children with brain tumors treated with proton radiation. This prospective study demonstrates the effect of disease type and intensity of treatment on HRQoL. It further suggests that where CSR is not possible, PPR is appropriate in mos …
However, nerve damage can occur, such as cancer invasion of the nerve or excessive traction of the rectum in the deep, narrow pelvic cavity. There is literature concerning the high rate of the preservation of sexual and voiding function after rectal cancer surgery. 8, 9.
WK 5 SPLEEN PATHOLOGY Portal Hypertension-Collaterals. The spleen (S) is massively enlarged, and a markedly dilated and tortuous porto-systemic collateral vein (arrow) is seen in the splenic hilum.
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PRaVDA: Proton Radiotherapy Verification and Dosimetry Application PRaVDA will produce the worlds first accurate proton CT images for patients...
On Tuesday 9th of December, I got into a taxi. I was driven to central London, ready for the 7pm screening of Times Up, Bitch. Just to clarify, thats times up for my tumour, not myself. I had a radical trachelectomy, which is the removal of the cervix, surrounding tissue and lymph nodes. Oh and Mr…
On Tuesday 9th of December, I got into a taxi. I was driven to central London, ready for the 7pm screening of Times Up, Bitch. Just to clarify, thats times up for my tumour, not myself. I had a radical trachelectomy, which is the removal of the cervix, surrounding tissue and lymph nodes. Oh and Mr…
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NOTE: Delivery times to the USA can often take longer than 2 weeks The UK is usually a little quicker. I rarely have any of these kits go astray, but occasional they will get stopped by customs or get lost. If this happens to you, please be patient as I will send you another kit immediately. We can often move forward with your other results in the mean time. ...
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This week I, along with Spare Keys Board President, met with a representative of MAPS for Non-Profits to begin discussion of our organizations first strategic planning retreat in more than five years. Founded in 1997 Spare Key has had its share of ups and downs and challenges, like many other small non-profits, throughout the years.…